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PROVIDER PROFILE · NPI 1225206188

Gustavo MachadoMD

PRACTICEPRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.See all providers at this practice →
Plastic and Reconstructive SurgeryLincoln, NEI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
92.3
Quality
90.0
Cost
84.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.73%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
17
Beneficiaries
—
Total drug cost
$176
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Hydrocodone/Acetaminophen17 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 280003
Hospital
CCN 280111
Hospital
CCN 280127
Hospital
CCN 281336
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
762
Unique beneficiaries
—
Total services
1,204
Distinct HCPCS
15
Medicare payment
$60K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 23 Plastic and Reconstructive Surgery providers in NE — top quintile (cohort median 195).
REFERRAL NETWORK

Where Gustavo Machado's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SAINT ELIZABETH REGIONAL MEDICAL CENTER43433
Physicians Laboratory Services, Inc
Clinical Laboratory · Omaha, NE
12128
WILLIAMS, ERIC1136
Erica Heiman
Physical Therapist in Private Practice · Lincoln, NE
1191
Patrick Hurlbut
Orthopedic Surgery · Lincoln, NE
1137
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SAINT ELIZABETH REGIONAL MEDICAL CENTER55741
BRYAN MEDICAL CENTER47188
NEBRASKA LABLINC LLC37150
LINCOLN SURGERY CENTER LLC2373
YORK GENERAL HOSPITAL19127
Erica Heiman
Physical Therapist in Private Practice · Lincoln, NE
15152
Julie Obear
Physical Therapist in Private Practice · Lincoln, NE
1491
MADONNA REHABILITATION HOSPITAL1118
William Ludwig
Diagnostic Radiology · Lincoln, NE
1125
Physicians Laboratory Services, Inc
Clinical Laboratory · Omaha, NE
1180
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.